| Jackson Recovery Centers, Inc. | |
|
800 5th St Suite 200 Sioux City IA 51101-1317 | |
| (712) 234-2300 | |
| (712) 234-2398 |
| Full Name | Jackson Recovery Centers, Inc. |
|---|---|
| Speciality | Substance Abuse Rehabilitation Facility |
| Location | 800 5th St, Sioux City, Iowa |
| Authorized Official Name and Position | Julie Enockson (VICE PRESIDENT CHIEF FINANCIAL OFFI) |
| Authorized Official Contact | 7122342302 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jackson Recovery Centers, Inc. 800 5th Street Sioux City IA 51101 Ph: (712) 234-2300 | Jackson Recovery Centers, Inc. 800 5th St Suite 200 Sioux City IA 51101-1317 Ph: (712) 234-2300 |
| NPI Number | 1811994973 |
|---|---|
| Provider Enumeration Date | 07/05/2005 |
| Last Update Date | 03/09/2026 |
| Certification Date | 03/09/2026 |
| Medicare PECOS PAC ID | 2466599634 |
|---|---|
| Medicare Enrollment ID | O20091020000508 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811994973 | NPI | - | NPPES |
| 68223 | Other | IA | WELLMARK PROVIDER NUMBER |
| 00-55012 | Medicaid | IA |
| Provider Name | Joada J Best |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619153137 PECOS PAC ID: 6204913361 Enrollment ID: I20080414000500 |
| Provider Name | Cynthia A Guthmiller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790755395 PECOS PAC ID: 5799848966 Enrollment ID: I20090114000329 |
| Provider Name | Rachel J Wurth |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881972412 PECOS PAC ID: 3678742319 Enrollment ID: I20110815000036 |
| Provider Name | Randall G Wood |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1730407545 PECOS PAC ID: 4284873605 Enrollment ID: I20131009000380 |
| Provider Name | Nesrin K Abu Ata |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1528297660 PECOS PAC ID: 0446493662 Enrollment ID: I20140904001574 |
| Provider Name | Cory Dale Frese |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1417317306 PECOS PAC ID: 9830496199 Enrollment ID: I20160331000953 |
| Provider Name | Andrea Lynn Harris |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801145776 PECOS PAC ID: 1557646197 Enrollment ID: I20170323000474 |
| Provider Name | Dorcas Wambui Kamau |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215434691 PECOS PAC ID: 9638434962 Enrollment ID: I20180607000745 |
| Provider Name | Gladys Ranee Smith |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1598126492 PECOS PAC ID: 6406101799 Enrollment ID: I20180608000676 |
| Provider Name | Melissa A Miller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760965032 PECOS PAC ID: 8426399114 Enrollment ID: I20190405001719 |
| Provider Name | Ricardo Osorio |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093272668 PECOS PAC ID: 2062844889 Enrollment ID: I20191118000423 |
| Provider Name | Brittany Mae Vondrak |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578174975 PECOS PAC ID: 7810303419 Enrollment ID: I20210305000953 |
| Provider Name | Kelsey Nicole Bauer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114681889 PECOS PAC ID: 5395135651 Enrollment ID: I20211201001826 |
| Provider Name | Jamie Lynn Karstens |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558147868 PECOS PAC ID: 7810342482 Enrollment ID: I20231017002706 |
| Provider Name | Raymond Garcia |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1245217959 PECOS PAC ID: 5799973921 Enrollment ID: I20240104003230 |
| Provider Name | Andrew Gerodias |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1073975389 PECOS PAC ID: 6103277678 Enrollment ID: I20240109002356 |
| Provider Name | Katherine Smith-harris |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1437511524 PECOS PAC ID: 6204289804 Enrollment ID: I20240131000812 |
| Provider Name | Doreen C Baerentzen |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1154158434 PECOS PAC ID: 4789115759 Enrollment ID: I20241001002579 |
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